1. Antiproteinuric Effect of Angiotensinconverting Enzyme Inhibitors and an Angiotensin II Receptor Blocker in Patients with Lupus Nephritis
- Author
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Masami Takei, Noboru Kitamura, Shigemasa Sawada, and Yoshihiro Matsukawa
- Subjects
Adult ,medicine.medical_specialty ,Angiotensin receptor ,Adolescent ,Lupus nephritis ,Urology ,Renal function ,Angiotensin-Converting Enzyme Inhibitors ,Blood Pressure ,urologic and male genital diseases ,Biochemistry ,Losartan ,chemistry.chemical_compound ,immune system diseases ,Internal medicine ,medicine ,Animals ,Humans ,skin and connective tissue diseases ,Creatinine ,Proteinuria ,biology ,business.industry ,Biochemistry (medical) ,Glomerulonephritis ,Angiotensin-converting enzyme ,Complement System Proteins ,Cell Biology ,General Medicine ,Middle Aged ,medicine.disease ,Lupus Nephritis ,Endocrinology ,chemistry ,Antibodies, Antinuclear ,biology.protein ,Female ,medicine.symptom ,business ,Angiotensin II Type 1 Receptor Blockers ,medicine.drug - Abstract
Although the effects of angiotensin II receptor blockers (ARBs) on non-diabetic glomerulonephritis have been reported, studies of their effects on collagenvascular diseases, particularly lupus nephritis, are limited. In this retrospective, observational study, systemic lupus erythematosus (SLE) patients ( n = 7) with lupus nephritis and uncontrolled proteinuria were treated with an angiotensin-converting enzyme inhibitor followed by the ARB losartan (25โ50 mg/day). Urinary protein excretion and renal function were evaluated. After 12 months of losartan, mean urinary protein excretion decreased significantly by 84.8%. Mean systolic and diastolic blood pressures also decreased significantly during the 12 months of losartan treatment, although not in normotensive patients. Complement 4, total complement activity and anti-dsDNA antibody levels, which are indices of SLE activity, and serum creatinine levels, which is an index of renal function, showed no change in response to losartan treatment. A more extensive evaluation of the effects of ARBs in patients with lupus nephritis and poorly controlled proteinuria is required.
- Published
- 2009